After the hospitalization operation, the head nurse was asked to arrange a good bed (a two-person room by the window), and the nurse in charge was of course a senior one. The arrangement for the doctor in charge was also a bit of a pain in the neck, but frankly speaking, such complicated patients are usually unwilling to take care of them, and “wearing high hats, luring and threatening” are all good backups. There is only one deputy chief physician in the department who went to the South General Hospital for half a year for further training, and this hospital is the first in China in the treatment of intestinal fistula. I can’t think of finding our Dr. Wang only front a trick on the quick promise (more heart). The basic work is organized next to wait for the results of the examination. Considering the patient’s long-distance fatigue, that day did not make other special examination, just by the management of the doctor reported a key point, the patient’s weight is only 24 kilograms! 24 kilograms is an incredible figure for an adult woman of 1.55 meters tall and 32 years old, with severe malnutrition and cachexia. In addition, I was concerned that something worse was being detected. On the next morning’s checkup, the patient complained of pain in the fistula and a red rash on the surrounding skin. If he ate a lot, he pooped a lot. Excretions were coming out of the stoma, about 1000 milliliters per day. The localized pain prevented the patient from eating much. I viewed the fistula and the stoma was concave. (Normally it should be about 0.5 cm above the skin). In addition to the second surgery and the current fistula condition, the history reported by Dr. Transthoracic was that at the age of fourteen, the right lung was completely destroyed due to severe lung disease (probably tuberculosis), and the contralateral side was also suffering from chronic bronchitis bronchodilatation, rightward displacement of the heart, scoliosis, and other illnesses. The chronic cough had not improved after the operation. After summarizing the above symptoms, we know that it is impossible for this patient to be operated in the near future, and we can only give complete parenteral nutritional support first, and at the same time, we should stop cough and resolve phlegm, anti-inflammatory treatment, etc., and ask professional stomatologists to take care of the stoma. A cardiopulmonary function test and a chest C-store were performed to further characterize the lungs. Finally, he reassured the patient that it would take a long time for him to recover and that he should be patient. He told the family that he hoped to find out the root cause of the obstruction and the number of small intestines removed during the last surgery.